Nia Jones
Buford,United States
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
9
9
years of professional experience
Work History
Medical Claims Processor
State Farm
Dunwoody, GA
04.2024 - Current
- Investigated discrepancies in medical billing information such as incorrect codes or amounts due.
- Responded promptly to customer inquiries regarding claim status or other issues.
- Verified accuracy of provider data entered into the system including tax ID numbers, NPI numbers, address changes .
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
- Examined claims, records and procedures to grant approval of coverage.
Claims Associate
State Farm
Dunwoody, GA
05.2023 - Current
- Interacted with clients via telephone and email, to discuss claim status and provide updates.
- Maintained accurate records of all claim processing activities in accordance with company policies and procedures.
- Participated in training sessions designed to improve understanding of new products and services offered by the company.
- Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
- Assisted new policyholders with processing claims.
Doctor's Assistant
Visionworks
Buford, GA
03.2022 - 05.2023
- Interviewed patients and reviewed patient files to determine medical histories, previous treatment and therapies and medication history.
- Recorded patients' medical history, vital statistics and test results in electronic medical records.
- Maintained strict patient privacy and confidential patient information, taking care to meet HIPAA guidelines and statutes for data security.
- Answered phones, scheduled appointments, greeted patients and ordered supplies.
- Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.
Cashier/Customer Service Associate
Publix
Lawrenceville, GA
11.2015 - 04.2021
- Collected payments and provided accurate change.
- Helped customers find specific products, answered questions and offered product advice.
- Trained new team members in cash register operation, stock procedures and customer services.
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
- Verified customer age requirement for alcohol or tobacco purchases.
- Discounted purchases by scanning and redeeming coupons.
- Operated cash register or POS system to receive payment by cash, check and credit card.
- Preserved appearance of store by arranging and replenishing displays and merchandise racks.
- Delivered high level of customer service to patrons using active listening and engagement skills.
- Used suggestive selling techniques to promote add-on sales.
- Answered product questions with up-to-date knowledge of sales and store promotions.
- Scanned merchandise using point-of-sale system for accurate purchase totals.
- Processed refunds for worn, damaged and broken merchandise.
- Answered customer questions and provided store information.
- Directed trash removal and sanitation procedures to keep aisles and register area organized.
- Tracked company inventories, moved excess stock and arranged products to improve sales.
- Worked closely with front-end staff to assist customers.
- Processed sales transactions to prevent long customer wait times.
- Accepted cash and credit card payments, issued receipts and provided change.
- Helped with purchases and signed customers up for rewards program.
- Learned roles of other departments to provide coverage and keep store operational.
Education
Bachelor of Arts - Sociology
Georgia State University
Atlanta, GA05.2022
High School Diploma -
Peachtree Ridge High School
Suwanee, GA05.2015
Skills
- Customer assistance
- Technologically savvy
- Retail sales customer service
- Project management abilities
- Customer relations
- Customer Service
Timeline
Medical Claims Processor
State Farm
04.2024 - Current
Claims Associate
State Farm
05.2023 - Current
Doctor's Assistant
Visionworks
03.2022 - 05.2023
Cashier/Customer Service Associate
Publix
11.2015 - 04.2021
Bachelor of Arts - Sociology
Georgia State University
High School Diploma -
Peachtree Ridge High School
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